MS. MARIA TERSEA JOHNSON RN NPI 1669654604

NPI Information

NPI: 1669654604
Provider Name: MS. MARIA TERSEA JOHNSON, RN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
113 BENSON ST
ALBANY, NY
ZIP 12206
Phone: (518) 365-0018
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MS. Maria Tersea Johnson, RN is a home health registered nurse in Albany, NY. MS. Maria Tersea Johnson, RN NPI is 1669654604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

113 BENSON ST
ALBANY, NY
ZIP 12206-122
Phone: (518) 365-0018

The enumeration date for this NPI number is 12/1/2007 and was last updated on 12/1/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH0200X	Registered Nurse	Home Health	517109	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02733535	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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